广东省中山市区镇综合医院非精神科医务人员精神卫生知识教育现况调查

A survey of mental health literacy of community medical staffs in district and town of Zhongshan

目的 调查中山市区镇综合医院医务人员精神卫生知识教育现状和知晓度,为提高基层医院医务人员开展精神卫生知识教育,提高知晓度提供依据.方法 选取中山市区镇综合医院非精神科医务人员352名,工作年限（10.0＆#177;9.8）年.精神科专科医院医务人员81名,从事精神科工作年限（9.0＆#177;10.7）年.采用原卫生部办公厅印发的精神卫生知识问卷和自编案例调查表进行调查.结果 两组精神卫生知识平均知晓率均＆gt;80.0%（87.6%,91.6%）,第2条＆quot;精神疾病就是思想上出了问题＆quot;（75.6%,88.6%）、第6条＆quot;95%精神疾病是不能完全治好的＆quot;（74.1%,62.6%）、第19条＆quot;世界预防自杀日你知道/听说过吗？＆quot;（36.5%,65.6%）、第20条＆quot;世界睡眠日你听到过吗？＆quot;（74.1%,76.2%）等条目正确率＆lt;80%,两组差异均有统计学意义（x2=8.45、4.92、27.48、6.99,均P〈0.05）.在案例调查表中,非精神科医务人员疾病识别处理能力平均正确率低于精神科医务人员,差异有统计学意义（64.6%比75.9%,P〈0.001）,两组均是抑郁症正确率最低（x2=44.46,P〈0.001）,总体之间差异有统计学意义（x2=141.17,P〈0.001）.结论 广东省中山市区镇综合医院非精神卫生医务人员对于精神卫生知识知晓率已经达到国家规定的标准,但是部分知识点需要加强.区镇综合医院非精神卫生医务人员对于常见精神疾病的识别处理能力有待提高.

Objective To investigate mental health literacy （MHL） of community medical staffs in district and town of Zhongshan city,and to provide data to improve MHL of community medical staffs.Methods Totally 352 medical staffs who were not psychiatric physician and 81 psychiatric physician were selected.The Chinese Mental Health Knowledge Awareness Questionnaire （published by Ministry of Health） was used to investigate the awareness rate of mental health knowledge.Five vignettes of two schizophrenia,one bipolar disorder,one depression and one obsessive compulsive disorder,each with 8 related questions,were used to investigate the recognition and response ability.Results The average awareness rate of the two groups was more than 80.0% （87.6%,91.6%）.For the item 2（75.6%,88.6%）,6（74.1%,62.6%）,19（36.5%,65.6%）,and 20（74.1%,86.2%）,the awareness rates were lower than 80.0%,and there were significant differences between the two groups （x2=8.45,4.92,27.48,6.99,all P〈0.05）.In vignettes survey,the correct rate was lower in the staffs who did not engaged in the mental health work than those in the other group,the difference was statistically significant（64.6% vs.75.9%,P〈0.001）.For both of the two groups the correct rate of depression was the lowest（x2=44.46,P〈0.001）.There was statistically significant difference between the total （x2=141.17,P〈0.001）.Conclusion The awareness rate of mental health knowledge has reached the national standards for community medical staffs,but they have to improve for some knowledge point.Their recognition and response ability for mental illness should be improved.